| NPI | 1235453689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BEVELL CEO 877-537-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 2000340-10) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2011-08-12 |